License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION

a ti Asbestos Control Program 59-17 Junction Boulevard. 8'" Floor, Corona, NY 11368-5107 [ ioioy&o3 #YPEWRITTEN DP: ASBESTOS PROJECT NOTIFICATION Building Dept. FOR OFFICIAL USE ONLY TRU No

wii~` c FORMS WILL BE (ASBESTOS INSPECTION REPORT) 1. ACCEPTED !`'•'!L' (S fee schedule)

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original f _ signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities.

I. FACILITY

2. Address S5 1-113 CRT STR E % Borough MAN•i4A~rrA,►✓Z;p

AKA 3. Block 4. Lot

5. Type of Facility 6. Name of Building

II. BUILDING OWNER

f 13F~z7y • ' 8. Contact Person 4? VAJ O CCt//1ii19 7. Name Oc cIC, S C-O2.P•

} 9. Tel. # j_._._._._._._._._. P I I._._._._._._._._ --- Fax #

10. Address & t=-YA 4.3 -ed City Mew York- State Zip /Do(7

III. GENERAL CONTRACTOR

11. Name Tel. #

IV. ASBESTOS ABATEMENT CONTRACTOR

12. Name 4 F) e [077 1 13. Contact Person T Ga - 781 — 14. Federal Employer ID. #._._._._._._._._. P.11-.-.-.-.-. _ -.-L 15. Tel. #.t`16') 78I - 3 Fax # I16

16. Address 3 o I o I Yrrs Ave City j4a44 fw State t'i' Zip

V. THIRD PARTY AIR MONITOR

n.ee4 P C_ M i cLtc~ l Ta-r+ 17. Name W wrre" O' PA/ t2' Eh 18. Contact Person

19. Federal Employer ID. # ` PII 20. Tel. # (212)922 — OO77 Fax# (. / 2-) ? z Z — O6 21. Address 22 g Ct+JZ'F Ifs s4v'a- ' City IiJ YDt& State Jt4, Zip 10617

22. Sample Analysis Laboratory •S[ ;e fvC 23. NYS DOH ELAP # 'if i VI. PROJECT INFORMATION 24. Starting date for this portion of work O2/I) c/03 Projected completion date O.2./ 2.5'42i

Asbestos work schedule ❑ Monday ❑ Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ''7 ®am❑ pm to 3 ❑am®pm r ~

If other. specify

Access to inspect the premises must be provided during the work schedule indicated in this item.

~erne ,ryors : 25. Total amount of asbestos-containing material to be abated during this work

?, I do . Square Feet, and/or Linear Feet — -- - -- - - ~ ~ W+ At A7 ) ACP 7 2/2001 Post-ite Fax Note 7671 Datb2 07 0,3 Pages i. To TONY CvSTA From R, _A/yJ,4 0f/, J Co./Dept. F i 62 Y C0 nom f Co. nryy .DEP lq eP i Phone #(..1/, -7 1-3O ro Phone# 7/8 /1 5'_373// Fax # Fax # - ` 5- - 371 CS ) (~) 7~ ~- 3 c )

NYC-WTC 000093467